Document Detail

Overcoming the challenges: maternal movement and positioning to facilitate labor progress.
MedLine Citation:
PMID:  20215946     Owner:  NLM     Status:  MEDLINE    
The benefits of maternal movement and position changes to facilitate labor progress have been discussed in the literature for decades. Recent routine interventions such as amniotomy, induction, fetal monitoring, and epidural anesthesia, as well as an increase in maternal obesity, have made position changes during labor challenging. The lack of maternal changes in position throughout labor can contribute to dystocia and increase the risk of cesarean births for failure to progress or descend. This article provides a historical review of the research findings related to the effects of maternal positioning on the labor process and uses six physiological principles as a framework to offer suggestions for maternal positioning both before and after epidural anesthesia.
Elaine Zwelling
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  35     ISSN:  1539-0683     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-10     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  72-8; quiz 79-80     Citation Subset:  IM; N    
Hill-Rom Company.
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MeSH Terms
Cesarean Section
Dystocia / prevention & control
Labor Stage, Second / physiology
Labor, Obstetric*
Maternal Welfare
Nurse's Role
Nurse-Patient Relations*
Obstetric Labor Complications / nursing*,  prevention & control*
Patient Positioning / methods*,  nursing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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